6N3-29950-25671
5 vaccinations
6 coded responses
62 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 770 / TX
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Moderna
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-14
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Red, itchy, raised skin around injection site lasting 6 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feeling weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-09
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-14
Survey response — day 42, dose 2MedDRA: Malaise, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Wednesday May 12th, I vomited about 30-45 minutes after eating breakfast and felt under the weather so didnt take my usual 3-mile walk. No fever. Dont know cause of vomiting. Felt fine next day and swam my usual 50 laps. No problems sinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-09-29
-
2021-10-28
Dose 3 — Moderna
- 2021-10-28
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-19
- 2021-11-25
- 2021-12-02
- 2021-12-10
- 2022-01-29
- 2022-04-28
-
2022-06-17
Dose 4 — Moderna
-
2022-06-20
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body achesFree text: Low-grade feverMedDRA releases: 2024-11 · check-in free text available
-
2022-06-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2022-06-22
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-07-22
- 2022-07-29
- 2022-09-16
-
2022-12-09
Dose 5 — Pfizer-BioNTech
- 2022-12-11
- 2022-12-12
- 2022-12-13
- 2022-12-14
- 2022-12-15
- 2022-12-16
-
2022-12-23
Survey response — day 14, dose 5MedDRA: Rash, Self-medication — Feeling: GoodFree text: Rash on both arms for 4 days starting 12/14. May be stressed induced hives. Responded to treatment with OTC hydrocortisone cream.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-01-20
-
2023-03-10
Survey response — 3 months, dose 5MedDRA: Bone loss, Endodontic procedure, Office visit, Root canal infection, Tooth fracture — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2023-03-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-06-17 | Moderna | No |
| 5 | 2022-12-09 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: Red, itchy, raised skin around injection site lasting 6 days
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling weak
Release 8 — day 42, dose 2
Symptoms: Wednesday May 12th, I vomited about 30-45 minutes after eating breakfast and felt under the weather so didnt take my usual 3-mile walk. No fever. Dont know cause of vomiting. Felt fine next day and swam my usual 50 laps. No problems sin
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Low-grade fever
Release 12 — day 14, dose 5
Symptoms: Rash on both arms for 4 days starting 12/14. May be stressed induced hives. Responded to treatment with OTC hydrocortisone cream.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Bone loss | · | · | ✓ |
| SD | Endodontic procedure | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Root canal infection | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release